Pub Date : 2022-07-01DOI: 10.1097/OR9.0000000000000079
T. Kjaer, Nina H. G. Hansen, A. K. G. Levinsen, Signe Carlsen, A. Mellemgaard, Marianne S. Oksen, I. Andersen, S. Dalton
Abstract Background: Clinical factors have an impact on the planning and completion of lung cancer treatment, but it is not well documented how psychological factors such as self-efficacy, that is, a person's belief in his or her own ability to respond to and control challenges in life, might affect completion of lung cancer treatment. We explored the association between general self-efficacy and completion of planned first-line treatment among newly referred patients with lung cancer. Methods: A total of 137 patients with lung cancer newly referred to the Oncology Department at Herlev University Hospital, Denmark, participated in this study. Data were prospectively collected through questionnaires and medical records. The Generalized Self-Efficacy Scale was used to assess self-efficacy at the time of diagnosis. Logistic regression models were used to analyze the association between self-efficacy and completion of planned first-line treatment with adjustment for age, sex, education, marital status, disease stage, and comorbidity. Results: Patients with high self-efficacy had significantly higher odds for completing first-line treatment (odds ratio 1.10; 95% confidence interval: 1.03–1.19) after adjustments. Conclusions: Patients who reported having higher self-efficacy were more likely to complete first-line treatment than patients with lower self-efficacy. This finding suggests that taking patients' psychological resources into account when planning for treatment may have potential to improve treatment for vulnerable patients with lung cancer. However, more studies are needed to confirm our findings.
{"title":"The association between self-efficacy and completion of first-line treatment among newly referred patients with lung cancer","authors":"T. Kjaer, Nina H. G. Hansen, A. K. G. Levinsen, Signe Carlsen, A. Mellemgaard, Marianne S. Oksen, I. Andersen, S. Dalton","doi":"10.1097/OR9.0000000000000079","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000079","url":null,"abstract":"Abstract Background: Clinical factors have an impact on the planning and completion of lung cancer treatment, but it is not well documented how psychological factors such as self-efficacy, that is, a person's belief in his or her own ability to respond to and control challenges in life, might affect completion of lung cancer treatment. We explored the association between general self-efficacy and completion of planned first-line treatment among newly referred patients with lung cancer. Methods: A total of 137 patients with lung cancer newly referred to the Oncology Department at Herlev University Hospital, Denmark, participated in this study. Data were prospectively collected through questionnaires and medical records. The Generalized Self-Efficacy Scale was used to assess self-efficacy at the time of diagnosis. Logistic regression models were used to analyze the association between self-efficacy and completion of planned first-line treatment with adjustment for age, sex, education, marital status, disease stage, and comorbidity. Results: Patients with high self-efficacy had significantly higher odds for completing first-line treatment (odds ratio 1.10; 95% confidence interval: 1.03–1.19) after adjustments. Conclusions: Patients who reported having higher self-efficacy were more likely to complete first-line treatment than patients with lower self-efficacy. This finding suggests that taking patients' psychological resources into account when planning for treatment may have potential to improve treatment for vulnerable patients with lung cancer. However, more studies are needed to confirm our findings.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42703606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/OR9.0000000000000078
J. Winterling, Y. Wengström
Abstract Background: The Stockholm region was hard hit by the first wave of COVID-19, although, in contrast to other countries, Sweden introduced less strict protective measures. Furthermore, early studies highlighted the fact that patients with cancer were at increased risk of becoming seriously ill with COVID-19. The aim was to describe perceptions of risk, safeguards, and cancer treatment received among patients with cancer early in the COVID-19 pandemic and to investigate the relationship between these perceptions and undergoing active treatment, self-isolation, and psychological well-being. Methods: This observational cross-sectional study was based on the Swedish sample in a multinational study. Data were collected through an anonymous online questionnaire from a convenience sample of patients with cancer in the Stockholm region of Sweden between the first and second waves of the COVID-19 pandemic. Results: Among participants (N = 76), 9% had been infected by COVID-19 and 62% had been self-isolating for a longer period; 41% of participants stated that they were worried about becoming infected, which was associated with self-isolation and higher levels of anxiety. The majority were confident that family members behaved with caution and followed COVID-19 guidelines, but few had confidence in other people or state authorities. Less than 15% reported that they did not receive medical treatment or supportive care. Conclusion: Despite the small sample size, this study shows that most participants used self-isolation to protect themselves from COVID-19 during this period and that most of the participants perceived that they had received their cancer treatment as planned.
{"title":"Worry about getting infected, confidence in safeguards, and received treatment between waves one and two of COVID-19 among patients with cancer in the Stockholm region","authors":"J. Winterling, Y. Wengström","doi":"10.1097/OR9.0000000000000078","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000078","url":null,"abstract":"Abstract Background: The Stockholm region was hard hit by the first wave of COVID-19, although, in contrast to other countries, Sweden introduced less strict protective measures. Furthermore, early studies highlighted the fact that patients with cancer were at increased risk of becoming seriously ill with COVID-19. The aim was to describe perceptions of risk, safeguards, and cancer treatment received among patients with cancer early in the COVID-19 pandemic and to investigate the relationship between these perceptions and undergoing active treatment, self-isolation, and psychological well-being. Methods: This observational cross-sectional study was based on the Swedish sample in a multinational study. Data were collected through an anonymous online questionnaire from a convenience sample of patients with cancer in the Stockholm region of Sweden between the first and second waves of the COVID-19 pandemic. Results: Among participants (N = 76), 9% had been infected by COVID-19 and 62% had been self-isolating for a longer period; 41% of participants stated that they were worried about becoming infected, which was associated with self-isolation and higher levels of anxiety. The majority were confident that family members behaved with caution and followed COVID-19 guidelines, but few had confidence in other people or state authorities. Less than 15% reported that they did not receive medical treatment or supportive care. Conclusion: Despite the small sample size, this study shows that most participants used self-isolation to protect themselves from COVID-19 during this period and that most of the participants perceived that they had received their cancer treatment as planned.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/OR9.0000000000000080
Kanako Ichikura, S. Shimizu, N. Oshima, Yosuke Ariizumi, T. Fujie, S. Yamauchi, T. Ishikawa, Y. Nakajima, Yuko Fukase, N. Murayama, Hanako Murase, H. Tagaya, Takashi Takeuchi, Satoshi Miyake, E. Matsushima
Abstract Background: Psychological counseling is an effective nonpharmacological intervention for patients with cancer experiencing psychological distress. This study used a conjoint analysis approach to assess the preferences of patients with cancer for psychological counseling. Methods: We conducted a single-center, cross-sectional study using a self-report questionnaire. Data were collected from outpatients and inpatients in the departments of respiratory medicine, gastrointestinal surgery, female pelvic surgery, and head and neck surgery at a university hospital between March 2018 and March 2020. The questionnaire was developed using semistructured interviews with 10 clinical psychologists. It included 48 scenarios to determine patients' preferences for counseling based on a combination of the type, length, cost, and frequency of counseling. We performed a conjoint analysis, calculating the relative importance and part-worth utility value of each factor. Results: The results of the conjoint analysis showed that patients with cancer considered counseling type as the most important factor (relative importance: 37.5%), followed by frequency (23.4%), cost (19.6%), and length (19.5%). Patients with cancer valued life reviews more highly than problem-solving, emotional control, and emotional expression. However, women and younger patients valued counseling for emotional control the most, and patients with advanced cancer valued counseling for problem-solving the most. Conclusions: The results suggest that patients with cancer consider the type and content of counseling to be the most important factors in their decision process, although these preferences vary with individual characteristics. This is the first study to clarify the preferences of patients with cancer for psychological counseling using a conjoint analysis, and it proposes a new economic approach in the field of psycho-oncology.
{"title":"Preferences of patients with cancer for psychological counseling: a cross-sectional study using full-profile conjoint analysis in Japan","authors":"Kanako Ichikura, S. Shimizu, N. Oshima, Yosuke Ariizumi, T. Fujie, S. Yamauchi, T. Ishikawa, Y. Nakajima, Yuko Fukase, N. Murayama, Hanako Murase, H. Tagaya, Takashi Takeuchi, Satoshi Miyake, E. Matsushima","doi":"10.1097/OR9.0000000000000080","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000080","url":null,"abstract":"Abstract Background: Psychological counseling is an effective nonpharmacological intervention for patients with cancer experiencing psychological distress. This study used a conjoint analysis approach to assess the preferences of patients with cancer for psychological counseling. Methods: We conducted a single-center, cross-sectional study using a self-report questionnaire. Data were collected from outpatients and inpatients in the departments of respiratory medicine, gastrointestinal surgery, female pelvic surgery, and head and neck surgery at a university hospital between March 2018 and March 2020. The questionnaire was developed using semistructured interviews with 10 clinical psychologists. It included 48 scenarios to determine patients' preferences for counseling based on a combination of the type, length, cost, and frequency of counseling. We performed a conjoint analysis, calculating the relative importance and part-worth utility value of each factor. Results: The results of the conjoint analysis showed that patients with cancer considered counseling type as the most important factor (relative importance: 37.5%), followed by frequency (23.4%), cost (19.6%), and length (19.5%). Patients with cancer valued life reviews more highly than problem-solving, emotional control, and emotional expression. However, women and younger patients valued counseling for emotional control the most, and patients with advanced cancer valued counseling for problem-solving the most. Conclusions: The results suggest that patients with cancer consider the type and content of counseling to be the most important factors in their decision process, although these preferences vary with individual characteristics. This is the first study to clarify the preferences of patients with cancer for psychological counseling using a conjoint analysis, and it proposes a new economic approach in the field of psycho-oncology.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48336401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/OR9.0000000000000082
Kyra Webb, L. Sharpe, P. Butow, H. Dhillon, R. Zachariae, N. Tauber, M. O'Toole, J. Shaw
Supplemental Digital Content is Available in the Text. Abstract Background: Fear of cancer recurrence (FCR) is the most common psychological issue for cancer survivors, and research shows that caregivers are as fearful of the cancer returning as patients. However, there is relatively little research on caregiver FCR. The aim of this systematic review was to provide a metasynthesis of qualitative research to determine (a) whether caregiver FCR was conceptually similar to FCR among survivors, (b) to determine any specific issues that were different for caregivers compared with survivors, and (c) to present a hypothesis-generating model of caregiver FCR to inform future theoretically grounded caregiver-specific FCR research. Methods: Using keywords relating to FCR, caregivers, and cancer, CINAHL, PsycINFO, PubMed, and Embase databases were searched. Qualitative studies reporting on FCR in caregivers published between January 1997 and July 2021 were included. Results: Following PRISMA guidelines, 13 articles were included for review and metasynthesis. Overall, there was a paucity of qualitative research exploring caregiver FCR. Metasynthesis revealed 1 theme, uncertainty/fear previously identified among survivors and a theme unique to the caregiver's experience of FCR: caregiver's role as protector. An overarching theme, fear of losing a loved one, explained the relationship between each of the identified themes, acting as a driver of caregiver FCR. Conclusions: This review highlighted, that although similarities between survivor and caregiver experiences of FCR exist, key elements that underline caregiver FCR are conceptually different to the fear experienced by cancer survivors. We propose a new model of FCR that incorporates aspects unique to caregivers which requires further investigation. The proposed model provides an important foundation for further research exploring caregiver FCR. Given caregivers with higher FCR experience more caregiver burden, it is essential to better understand their experiences. This will facilitate the development of interventions which effectively support caregivers, enhancing their capacity to support survivors.
{"title":"Toward the development of a model of caregiver-specific fear of cancer recurrence: a systematic review","authors":"Kyra Webb, L. Sharpe, P. Butow, H. Dhillon, R. Zachariae, N. Tauber, M. O'Toole, J. Shaw","doi":"10.1097/OR9.0000000000000082","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000082","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Abstract Background: Fear of cancer recurrence (FCR) is the most common psychological issue for cancer survivors, and research shows that caregivers are as fearful of the cancer returning as patients. However, there is relatively little research on caregiver FCR. The aim of this systematic review was to provide a metasynthesis of qualitative research to determine (a) whether caregiver FCR was conceptually similar to FCR among survivors, (b) to determine any specific issues that were different for caregivers compared with survivors, and (c) to present a hypothesis-generating model of caregiver FCR to inform future theoretically grounded caregiver-specific FCR research. Methods: Using keywords relating to FCR, caregivers, and cancer, CINAHL, PsycINFO, PubMed, and Embase databases were searched. Qualitative studies reporting on FCR in caregivers published between January 1997 and July 2021 were included. Results: Following PRISMA guidelines, 13 articles were included for review and metasynthesis. Overall, there was a paucity of qualitative research exploring caregiver FCR. Metasynthesis revealed 1 theme, uncertainty/fear previously identified among survivors and a theme unique to the caregiver's experience of FCR: caregiver's role as protector. An overarching theme, fear of losing a loved one, explained the relationship between each of the identified themes, acting as a driver of caregiver FCR. Conclusions: This review highlighted, that although similarities between survivor and caregiver experiences of FCR exist, key elements that underline caregiver FCR are conceptually different to the fear experienced by cancer survivors. We propose a new model of FCR that incorporates aspects unique to caregivers which requires further investigation. The proposed model provides an important foundation for further research exploring caregiver FCR. Given caregivers with higher FCR experience more caregiver burden, it is essential to better understand their experiences. This will facilitate the development of interventions which effectively support caregivers, enhancing their capacity to support survivors.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44076951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/OR9.0000000000000081
E. Akin-Odanye, M. Peate, C. Asuzu, B. Brown, Melissa C. Henry
Abstract Background: Literature on the experience of those caring for children with cancer from low- and middle-income countries is scant. Gaining insight into their experiences may be important to providing appropriate services for this group. This study sought to identify the concerns and explore the experiences of family caregivers of pediatric patients with cancer in Nigeria. Method: This qualitative study used semistructured interviews to collect data from 16 consenting family caregivers of pediatric patients with cancer seen at the University College Hospital, Ibadan. Recorded audio data were transcribed and subjected to content analysis. Results: Most family caregivers were unaware of pediatric cancer before getting the diagnosis. They experienced anticipatory grief fearing the possibility of their children dying and feeling helpless regarding funding the treatments. In addition, they expressed powerlessness in controlling the illness/treatment outcome and in managing how they were treated by hospital staff. Siblings were said to experience distress from seeing the deteriorating physical changes in their siblings with cancer. Participants reported disruption in usual domestic and socioeconomic activities in the family. They mostly coped through using religious/spiritual coping strategies and accessing some social support from hospital staff and well-wishers. Family caregivers perceived a need for greater government involvement in pediatric cancer care and prevention efforts and seek more cooperation from hospital staff in the care of their children. Conclusions: Family caregivers of pediatric patients with cancer experience challenges worthy of psycho-oncologists’ attention. This population might benefit from interventions to manage anticipatory grief and promote assertive communication and problem-solving skills.
{"title":"Qualitative exploration of family caregivers' perception and experience caring for pediatric patients with cancer","authors":"E. Akin-Odanye, M. Peate, C. Asuzu, B. Brown, Melissa C. Henry","doi":"10.1097/OR9.0000000000000081","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000081","url":null,"abstract":"Abstract Background: Literature on the experience of those caring for children with cancer from low- and middle-income countries is scant. Gaining insight into their experiences may be important to providing appropriate services for this group. This study sought to identify the concerns and explore the experiences of family caregivers of pediatric patients with cancer in Nigeria. Method: This qualitative study used semistructured interviews to collect data from 16 consenting family caregivers of pediatric patients with cancer seen at the University College Hospital, Ibadan. Recorded audio data were transcribed and subjected to content analysis. Results: Most family caregivers were unaware of pediatric cancer before getting the diagnosis. They experienced anticipatory grief fearing the possibility of their children dying and feeling helpless regarding funding the treatments. In addition, they expressed powerlessness in controlling the illness/treatment outcome and in managing how they were treated by hospital staff. Siblings were said to experience distress from seeing the deteriorating physical changes in their siblings with cancer. Participants reported disruption in usual domestic and socioeconomic activities in the family. They mostly coped through using religious/spiritual coping strategies and accessing some social support from hospital staff and well-wishers. Family caregivers perceived a need for greater government involvement in pediatric cancer care and prevention efforts and seek more cooperation from hospital staff in the care of their children. Conclusions: Family caregivers of pediatric patients with cancer experience challenges worthy of psycho-oncologists’ attention. This population might benefit from interventions to manage anticipatory grief and promote assertive communication and problem-solving skills.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44734538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/OR9.0000000000000071
K. Wong, K. McClure, Danielle Psillos
Abstract Problem Identification: Many cancer patients experience posttraumatic growth (PTG), and psycho-oncologists are exploring ways to facilitate PTG through psychosocial intervention. This study utilized a scoping review protocol to provide a comprehensive evaluation of psychosocial interventions aiming to promote PTG in oncology. Literature Search: Three databases were used to identify empirical studies implementing psychosocial interventions to promote PTG in cancer patients, according to Calhoun and Tedeschi's Posttraumatic Growth Inventory. Data Evaluation: Two independent reviewers screened articles for inclusion and extracted data for qualitative synthesis. 8275 abstracts and 116 full-text articles were assessed, with 33 studies included in this review. Conclusions: Common treatment components of psychoeducation, peer support, and mindfulness skills identified by this review may be considered for future interventions targeting post-traumatic growth. The results of this review also identified areas where PTG research may be strengthened, including standardized reporting of PTG outcomes and cancer-related variables.
{"title":"A scoping review of psychosocial oncology interventions promoting posttraumatic growth","authors":"K. Wong, K. McClure, Danielle Psillos","doi":"10.1097/OR9.0000000000000071","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000071","url":null,"abstract":"Abstract Problem Identification: Many cancer patients experience posttraumatic growth (PTG), and psycho-oncologists are exploring ways to facilitate PTG through psychosocial intervention. This study utilized a scoping review protocol to provide a comprehensive evaluation of psychosocial interventions aiming to promote PTG in oncology. Literature Search: Three databases were used to identify empirical studies implementing psychosocial interventions to promote PTG in cancer patients, according to Calhoun and Tedeschi's Posttraumatic Growth Inventory. Data Evaluation: Two independent reviewers screened articles for inclusion and extracted data for qualitative synthesis. 8275 abstracts and 116 full-text articles were assessed, with 33 studies included in this review. Conclusions: Common treatment components of psychoeducation, peer support, and mindfulness skills identified by this review may be considered for future interventions targeting post-traumatic growth. The results of this review also identified areas where PTG research may be strengthened, including standardized reporting of PTG outcomes and cancer-related variables.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47881736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/OR9.0000000000000070
M. Miller, A. Zaleta, Melyssa L. Allen, H. Nichols, Diane Robinson
Abstract Background: Addressing cancer patient distress and unmet needs may reduce health care costs and enhance care utilization. This study examined the impact of a distress screening program CancerSupportSource™ (CSS) on health care utilization and costs for breast cancer patients. Methods: In a retrospective cohort study with 2 years’ follow-up, breast cancer patients receiving care at a community cancer center in Orlando, FL, between 2016 and 2019 were categorized according to exposure status: screened using CSS and acted by using supportive care services (SA); screened only (SO); and not screened (NS). Patients were matched on breast tumor location and age; screened patients were additionally matched on referral need. Outcomes abstracted from medical records included utilization and cost of emergency department (ED) services, hospital inpatient admissions, and outpatient services; and utilization of integrative medicine department, patient/family counseling, and allied health services. Results: SA patients (n = 36), compared to NS (n = 37), had significantly lower rates of ED visits in negative binomial regression analysis (incidence rate ratio [IRR] 0.43; 95% confidence interval [CI] 0.20–0.93; P = .031). There were significantly higher rates of integrative medicine department visits in SA (IRR 4.20; 95% CI 1.63–10.9; P = .003) and SO (IRR 3.71; 95% CI 1.49–9.24; P = .005) groups compared to NS, and higher rates of patient/family counseling visits in SA (IRR 6.21; 95% CI 1.52–25.3; P = .011). There were no significant differences in 2-year health care costs between groups, controlling for age and race/ethnicity. Conclusions: These findings highlight the potential value of distress screening and referral for health care utilization, shifting use of higher cost services to lower cost nonemergent and preventive care in cancer, and can inform future prospective research on cost outcomes.
{"title":"Impact of distress screening and referral on health care utilization and cost among breast cancer patients: a retrospective cohort study","authors":"M. Miller, A. Zaleta, Melyssa L. Allen, H. Nichols, Diane Robinson","doi":"10.1097/OR9.0000000000000070","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000070","url":null,"abstract":"Abstract Background: Addressing cancer patient distress and unmet needs may reduce health care costs and enhance care utilization. This study examined the impact of a distress screening program CancerSupportSource™ (CSS) on health care utilization and costs for breast cancer patients. Methods: In a retrospective cohort study with 2 years’ follow-up, breast cancer patients receiving care at a community cancer center in Orlando, FL, between 2016 and 2019 were categorized according to exposure status: screened using CSS and acted by using supportive care services (SA); screened only (SO); and not screened (NS). Patients were matched on breast tumor location and age; screened patients were additionally matched on referral need. Outcomes abstracted from medical records included utilization and cost of emergency department (ED) services, hospital inpatient admissions, and outpatient services; and utilization of integrative medicine department, patient/family counseling, and allied health services. Results: SA patients (n = 36), compared to NS (n = 37), had significantly lower rates of ED visits in negative binomial regression analysis (incidence rate ratio [IRR] 0.43; 95% confidence interval [CI] 0.20–0.93; P = .031). There were significantly higher rates of integrative medicine department visits in SA (IRR 4.20; 95% CI 1.63–10.9; P = .003) and SO (IRR 3.71; 95% CI 1.49–9.24; P = .005) groups compared to NS, and higher rates of patient/family counseling visits in SA (IRR 6.21; 95% CI 1.52–25.3; P = .011). There were no significant differences in 2-year health care costs between groups, controlling for age and race/ethnicity. Conclusions: These findings highlight the potential value of distress screening and referral for health care utilization, shifting use of higher cost services to lower cost nonemergent and preventive care in cancer, and can inform future prospective research on cost outcomes.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44476372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/OR9.0000000000000073
Kelly L. A. van Bindsbergen, M. van Gorp, Brigitte W. Thomassen, J. Merks, M. Grootenhuis
Abstract Background: We aimed to describe the opinions of health care providers in pediatric oncology regarding social robots and to examine differences in their opinions based on their background characteristics. Methods: Health care providers working in pediatric oncology care were approached globally to participate online in a cross-sectional questionnaire study with multiple choice and open-ended questions. Open-ended questions were coded and collapsed into categories by two researchers independently. Frequencies were used to describe the answers. Differences in opinions were studied using logistic regression analyses. Results: Health care providers’ (n = 286) first thoughts about social robots were mostly positive (81.0%). They saw value in social robots (83.6%), mostly during hospitalization or procedures and when used for distraction. They were willing to use one (67.8%), but also expected difficulties (67.1%), mainly concerning technical errors. Psychosocial staff members less often saw value in social robots, more often expected difficulties and were less willing to use a social robot than other health care providers (Ps < .05). No other differences were found. Conclusions: Social robots may be a promising addition to pediatric oncology care, since health care providers were generally positive about this innovation. However, psychosocial staff members seemed more reluctant. Important potential barriers were defined that should be addressed upon implementation.
{"title":"Social robots in pediatric oncology: opinions of health care providers","authors":"Kelly L. A. van Bindsbergen, M. van Gorp, Brigitte W. Thomassen, J. Merks, M. Grootenhuis","doi":"10.1097/OR9.0000000000000073","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000073","url":null,"abstract":"Abstract Background: We aimed to describe the opinions of health care providers in pediatric oncology regarding social robots and to examine differences in their opinions based on their background characteristics. Methods: Health care providers working in pediatric oncology care were approached globally to participate online in a cross-sectional questionnaire study with multiple choice and open-ended questions. Open-ended questions were coded and collapsed into categories by two researchers independently. Frequencies were used to describe the answers. Differences in opinions were studied using logistic regression analyses. Results: Health care providers’ (n = 286) first thoughts about social robots were mostly positive (81.0%). They saw value in social robots (83.6%), mostly during hospitalization or procedures and when used for distraction. They were willing to use one (67.8%), but also expected difficulties (67.1%), mainly concerning technical errors. Psychosocial staff members less often saw value in social robots, more often expected difficulties and were less willing to use a social robot than other health care providers (Ps < .05). No other differences were found. Conclusions: Social robots may be a promising addition to pediatric oncology care, since health care providers were generally positive about this innovation. However, psychosocial staff members seemed more reluctant. Important potential barriers were defined that should be addressed upon implementation.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42505126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/OR9.0000000000000072
Béatrice Fortin, Auréliana-Marie Billy-Da Silveira, D. Tremblay
Financial toxicity is associated with greater levels of distress and poorer disease management, quality of life and even survival for people living with and beyond cancer. Cancer care providers need to recognize this growing burden and the adverse effects it can have regardless of the type and stage of cancer, and the nature of the health care systems. Our discussions with cancer team members in Québec’s (Canada) publicly funded universal health care system reveal that they consider themselves illequipped and lack time to address financial toxicity, and that no professional is formally designated to address the financial concerns cancer creates for patients and caregivers. Similar findings have been reported in many countries, demonstrating that financial toxicity remains under-addressed in present professional practice. Efforts are long overdue to overcome the taboo around the financial burden of cancer and bring awareness about it to support patients living with and beyond cancer. Our aim is to increase awareness of financial toxicity with arguments around the knowledge-to-practice gap, strategies to increase awareness, ways to overcome barriers to intervention, and required learning.
{"title":"Tackling the next taboo in cancer: the urgency of talking about and addressing financial toxicity","authors":"Béatrice Fortin, Auréliana-Marie Billy-Da Silveira, D. Tremblay","doi":"10.1097/OR9.0000000000000072","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000072","url":null,"abstract":"Financial toxicity is associated with greater levels of distress and poorer disease management, quality of life and even survival for people living with and beyond cancer. Cancer care providers need to recognize this growing burden and the adverse effects it can have regardless of the type and stage of cancer, and the nature of the health care systems. Our discussions with cancer team members in Québec’s (Canada) publicly funded universal health care system reveal that they consider themselves illequipped and lack time to address financial toxicity, and that no professional is formally designated to address the financial concerns cancer creates for patients and caregivers. Similar findings have been reported in many countries, demonstrating that financial toxicity remains under-addressed in present professional practice. Efforts are long overdue to overcome the taboo around the financial burden of cancer and bring awareness about it to support patients living with and beyond cancer. Our aim is to increase awareness of financial toxicity with arguments around the knowledge-to-practice gap, strategies to increase awareness, ways to overcome barriers to intervention, and required learning.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41951433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1097/OR9.0000000000000068
P. Zhu, S. Perez, G. Griffin-Mathieu, Ovidiu Tatar, Z. Rosberger
Abstract Background: Most sexually active adults are infected with the Human Papillomavirus (HPV) in their lifetime and about 3800 Canadians are diagnosed each year with a HPV attributable cancer. Although highly effective HPV vaccines exist, the HPV is responsible for 4.5% of all cancers worldwide, that include cervical, anal, vaginal/vulvar, penile, and oropharyngeal cancers. The present HPV vaccine uptake rate for boys in Canada is well below the target set by the Canadian government. This study aimed to analyze the motives that influence a change in parents’ HPV vaccine-decision-making status for their sons over time. Methods: Data were collected using a web-based survey that measured knowledge, attitudes, beliefs, and behaviors regarding HPV vaccination. Canadian parents of boys aged 9 to 12 completed the survey at baseline (T1) and in a follow-up survey 9 months later (T2). Parents’ decision stage regarding their son receiving the HPV vaccine was categorized using the Precaution Adoption Process Model: unaware, unengaged, undecided, decided not to vaccinate, decided to vaccinate, or vaccinated. Parents who moved stages from T1 to T2 responded to open-ended questions, and we used qualitative deductive and inductive methods to analyses data. In parallel, we used quantitative methods to analyses parents’ knowledge, attitudes, and beliefs. Results of quantitative and qualitative analyses were compared and interpreted. Results: Of the 1427 parents who completed the survey at both T1 and T2, 118 parents moved to decided not to vaccinate, 125 moved to decided to vaccinate, and 9 to vaccinated. Qualitative analyses revealed that parents who moved to decided not to vaccinate their son indicated harms, knowledge, and general anti-vaccination attitudes as the top categories for vaccine nonacceptability. These parents also scored lower on HPV and HPV vaccine knowledge scales. Benefits, knowledge, and hearing positive opinions from health care professionals (HCPs) were the most commonly assigned categories for parents who moved to decided to vaccinate their sons. Conclusions: Highlighting the benefits of the vaccine, countering negative stories about the vaccine, and having HCPs provide strong recommendations are critical to increase HPV vaccine uptake in boys.
{"title":"What influences parents to vaccinate (or not) their sons with the Human Papillomavirus (HPV) vaccine: an examination of HPV vaccine decision-making changes over time","authors":"P. Zhu, S. Perez, G. Griffin-Mathieu, Ovidiu Tatar, Z. Rosberger","doi":"10.1097/OR9.0000000000000068","DOIUrl":"https://doi.org/10.1097/OR9.0000000000000068","url":null,"abstract":"Abstract Background: Most sexually active adults are infected with the Human Papillomavirus (HPV) in their lifetime and about 3800 Canadians are diagnosed each year with a HPV attributable cancer. Although highly effective HPV vaccines exist, the HPV is responsible for 4.5% of all cancers worldwide, that include cervical, anal, vaginal/vulvar, penile, and oropharyngeal cancers. The present HPV vaccine uptake rate for boys in Canada is well below the target set by the Canadian government. This study aimed to analyze the motives that influence a change in parents’ HPV vaccine-decision-making status for their sons over time. Methods: Data were collected using a web-based survey that measured knowledge, attitudes, beliefs, and behaviors regarding HPV vaccination. Canadian parents of boys aged 9 to 12 completed the survey at baseline (T1) and in a follow-up survey 9 months later (T2). Parents’ decision stage regarding their son receiving the HPV vaccine was categorized using the Precaution Adoption Process Model: unaware, unengaged, undecided, decided not to vaccinate, decided to vaccinate, or vaccinated. Parents who moved stages from T1 to T2 responded to open-ended questions, and we used qualitative deductive and inductive methods to analyses data. In parallel, we used quantitative methods to analyses parents’ knowledge, attitudes, and beliefs. Results of quantitative and qualitative analyses were compared and interpreted. Results: Of the 1427 parents who completed the survey at both T1 and T2, 118 parents moved to decided not to vaccinate, 125 moved to decided to vaccinate, and 9 to vaccinated. Qualitative analyses revealed that parents who moved to decided not to vaccinate their son indicated harms, knowledge, and general anti-vaccination attitudes as the top categories for vaccine nonacceptability. These parents also scored lower on HPV and HPV vaccine knowledge scales. Benefits, knowledge, and hearing positive opinions from health care professionals (HCPs) were the most commonly assigned categories for parents who moved to decided to vaccinate their sons. Conclusions: Highlighting the benefits of the vaccine, countering negative stories about the vaccine, and having HCPs provide strong recommendations are critical to increase HPV vaccine uptake in boys.","PeriodicalId":73915,"journal":{"name":"Journal of psychosocial oncology research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49089407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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